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. 2025 Apr 30;33(5):436.
doi: 10.1007/s00520-025-09479-6.

Health practitioners' perceptions of psychosocial support for siblings of children with poor prognosis cancers: a qualitative study

Preet Walia  1   2   3 , Maria Athina Martimianakis  4   5   6 , Sonia Lucchetta  7   8   9 , Angela Punnett  7   4 , Fyeza Hasan  7   4
Affiliations

Health practitioners' perceptions of psychosocial support for siblings of children with poor prognosis cancers: a qualitative study

Preet Walia et al. Support Care Cancer. .

Abstract

Purpose: Psychosocial support for siblings has been identified as a standard of care in pediatric oncology. The aim of this study was to explore health practitioners' perspectives on how siblings of children with poor prognosis cancers are supported.

Methods: Using a purposive sampling strategy, we interviewed 14 oncology and palliative care health practitioners at a Canadian tertiary pediatric oncology center. Our data analysis used Interpretive Description. Semi-structured interview transcripts were coded inductively and refined using our theoretical framework.

Results: We identified four themes that influenced health practitioners' ability to provide psychosocial support to siblings: (1) individual siblings' needs and goals, (2) parents' role in protecting their children, (3) realities of practice for health practitioners, and (4) systemic factors influencing sibling support. Within these themes, we identified challenges to psychosocial support for siblings of children with poor prognosis cancers.

Conclusion: Our study highlights barriers to sibling support prior to bereavement and opportunities to improve care. Based on our findings, we developed recommendations to address these barriers. Oncology programs can use these recommendations to reflect on and improve sibling support practices.

Keywords: Anticipatory grief; Caregivers; Neoplasm; Parents; Prognosis; Psychosocial support systems; Siblings.

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Conflict of interest statement

Declarations. Competing interests: The authors declare no competing interests.

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References

    1. Yang HC, Mu PF, Sheng CC, Chen YW, Hung GY (2016) A systematic review of the experiences of siblings of children with cancer. Cancer Nurs 39:E12–E21 - DOI - PubMed
    1. Long KA, Lehmann V, Gerhardt CA, Carpenter AL, Marsland AL, Alderfer M (2018) Psychosocial functioning and risk factors among siblings of children with cancer: an updated systematic review. Psycho-Oncol 27(6):1467–1479 - DOI
    1. Prchal A, Landolt MA (2012) How siblings of pediatric cancer patients experience the first time after diagnosis: a qualitative study. Cancer Nurs 35:133–140 - DOI - PubMed
    1. Long KA, Marsland AL, Hinds P (2015) Creating a tenuous balance: siblings’ experience of a brother’s or sister’s childhood cancer diagnosis. J Pediatr Oncol Nurs 32(1):21–31 - DOI - PubMed
    1. Alderfer MA, Long KA, Lown EA, Marsland AL, Ostrowski NL, Hock JM, Ewing LJ (2010) Psychosocial adjustment of siblings of children with cancer: a systematic review. Psycho-Oncol 19(8):789–805 - DOI

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